Dr Shaik Sameer Ahmed Clinic

Bruxism is a condition in which you grind, gnash or clench your teeth. If you have bruxism, you may unconsciously clench your teeth when you're awake (awake bruxism) or clench or grind them during sleep (sleep bruxism).
Sleep bruxism is considered a sleep-related movement disorder. People who clench or grind their teeth (brux) during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea).
Mild bruxism may not require treatment. However, in some people, bruxism can be frequent and severe enough to lead to jaw disorders, headaches, damaged teeth and other problems.
Because you may have sleep bruxism and be unaware of it until complications develop, it's important to know the signs and symptoms of bruxism and to seek regular dental care.

Signs and symptoms of bruxism may include:

• Teeth grinding or clenching, which may be loud enough to wake up your sleep partner
• Teeth that are flattened, fractured, chipped or loose
• Worn tooth enamel, exposing deeper layers of your tooth
• Increased tooth pain or sensitivity
• Tired or tight jaw muscles, or a locked jaw that won't open or close completely
• Jaw, neck or face pain or soreness
• Pain that feels like an earache, though it's actually not a problem with your ear
• Dull headache starting in the temples
• Damage from chewing on the inside of your cheek
• Sleep disruption

When to see a doctor?
See your dentist or doctor if you have any of the symptoms listed above or have other concerns about your teeth or jaw.
If you notice that your child is grinding his or her teeth — or has other signs or symptoms of bruxism — be sure to mention it at your child's next dental appointment.

Causes

• Doctors don't completely understand what causes bruxism, but it may be due to a combination of physical, psychological and genetic factors.
• Awake bruxism may be due to emotions such as anxiety, stress, anger, frustration or tension. Or it may be a coping strategy or a habit during deep concentration.
• Sleep bruxism may be a sleep-related chewing activity associated with arousals during sleep.

These factors increase your risk of bruxism:

• Stress. Increased anxiety or stress can lead to teeth grinding. So can anger and frustration.
• Age. Bruxism is common in young children, but it usually goes away by adulthood.
• Personality type. Having a personality type that's aggressive, competitive or hyperactive can increase your risk of bruxism.
• Medications and other substances. Bruxism may be an uncommon side effect of some psychiatric medications, such as certain antidepressants. Smoking tobacco, drinking caffeinated beverages or alcohol, or using recreational drugs may increase the risk of bruxism.
• Family members with bruxism. Sleep bruxism tends to occur in families. If you have bruxism, other members of your family also may have bruxism or a history of it.
• Other disorders. Bruxism can be associated with some mental health and medical disorders, such as parkinson's disease, dementia, gastroesophageal reflux disorder (gerd), epilepsy, night terrors, sleep-related disorders such as sleep apnea, and attention-deficit/hyperactivity disorder (adhd).

In most cases, bruxism doesn't cause serious complications. But severe bruxism may lead to:

• Damage to your teeth, restorations, crowns or jaw
• Tension-type headaches
• Severe facial or jaw pain
• Disorders that occur in the temporomandibular joints (tmjs), located just in front of your ears, which may sound like clicking when you open and close your mouth

Diagnosis
During regular dental exams, your dentist likely will check for signs of bruxism.

Evaluation
If you have any signs, your dentist looks for changes in your teeth and mouth over the next several visits to see if the process is progressive and to determine whether you need treatment.

Determining the cause
If your dentist suspects that you have bruxism, he or she tries to determine its cause by asking questions about your general dental health, medications, daily routines and sleep habits.

To evaluate the extent of bruxism, your dentist may check for:

• Tenderness in your jaw muscles
• Obvious dental abnormalities, such as broken or missing teeth
• A dental exam may detect other disorders that can cause similar jaw or ear pain, such as temporomandibular joint (tmj) disorders, other dental problems or health conditions.

Referral
If your bruxism seems to be related to major sleep issues, your doctor may recommend a sleep medicine specialist. A sleep medicine specialist can conduct more tests, such as a sleep study that will assess for episodes of teeth grinding and determine if you have sleep apnea or other sleep disorders.
If anxiety or other psychological issues seem related to your teeth grinding, you may be referred to a licensed therapist or counselor.

Treatment
In many cases, treatment isn't necessary. Many kids outgrow bruxism without treatment, and many adults don't grind or clench their teeth badly enough to require therapy. However, if the problem is severe, options include certain dental approaches, therapies and medications to prevent more tooth damage and relieve jaw pain or discomfort.
Talk with your dentist or doctor to find out which option may work best for you.

Dental approaches
If you or your child has bruxism, your doctor may suggest ways to preserve or improve your teeth. Although these methods may prevent or correct the wear to your teeth, they may not stop the bruxism:
Splints and mouth guards. These are designed to keep teeth separated to avoid the damage caused by clenching and grinding. They can be constructed of hard acrylic or soft materials and fit over your upper or lower teeth.
Dental correction. In severe cases — when tooth wear has led to sensitivity or the inability to chew properly — your dentist may need to reshape the chewing surfaces of your teeth or use crowns to repair the damage.

Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it ‘the vicious cycle of pain and sleep’ as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

1. Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
2. Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
3. Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night’s sleep.
4. Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren’t sleeping.

Some of the causes of sleep disorders due to chronic pain are:

1. Pain
2. Worry and anxiety
3. Sweating at night
4. Depression and other mental disorders

Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night’s sleep are:

• Limiting caffeine intake
• Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
• Practicing meditation and other relaxation techniques
• Pain killers or sleeping pills can be administered, but only with the doctor’s advice.
• Hot water fomentation over painful area during night, for better sleep.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

1. Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
   1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
   2. Opiates, for example, hydrocodone, for pain relief
   3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
   4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
   1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
   2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
   3. Exercise routinely to help you recover quickly.
   4. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
4. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
5. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
6. Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
7. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age. 

In case you have a concern or query you can always consult an expert & get answers to your questions!